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HomeMy WebLinkAboutStreet Cut Permits 50 High ridge road (5) 1800103 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/25/2018 G1S ID: 42300050 FEE: 50.00 MUNIS APPLICATION# 201801295 EXPIRATION DATE: 07/25/2019 APPLICANT LOCATION NAME: AIROLDI'S INC. ADDRESS, 50 HIGH RIDGE ROAD ADDRESS: P O BOX 71 OWNER: AINHEIRA ELISEU D&LISA C 50 HIGH,RIDGE ROAD SOUTH WINDSOR,CT 06074 . PHONE WORK DESCRIPTION: DRIVEWAY APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOWS,STREET CUT PERMIT MANUAL. f�o(koq ISSUED BY DATE INSPECTED INSPECTED BY 7/25/2018 2:22 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINOSOR INSPECTION REPORT nn s PERMIT NO.:. ©K CONTRACTOR: H>✓'��Gl S _ LOCATION:..- SD H/a p,--�1 TYPE OF WORK: DATE INSP NEEDED: DATE INSP: 2-3 INSPECTED BY: !� WORK IN PROGRESS: we. 0 k f , aJ I L.JG, /)-/,Zl-s k4-ix tj-)Cqv SEPTIC TANK PUMPED,SMASHED, FILLED wrmESSED ❑YES ❑ NO AS-BUILT: INPUT: (' DATE: 5/MOHGV/farms 2014 Tovm of South wndson INPSECrION REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. 1540 SULLIVAN AVENUE Date: � �/$' SOUTH WINDSOR,CT 06074 Solo v Name of Firm � � Address of Firm 0 Phone No. Location Of proposed work 0 Zip Code d�07 Describe fully nature of permit requested Starting date 3 d Call Before You Dig No. d 1 M A 0 2�Z Approx.time for completion — Pall Water Supply: Well P Gc Water ❑ Existing Sewage Service; []Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBL�r e T OR- f1lr FULL r'INrAt-COST:OFTHE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB i.ENGTH,TRAFFIC CONTROL AND THE TOWN'8 CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish two copies of separate drawing This section to be f out by Indcate.North Town of South Windsor No.cuts Est Patch Sizes) sf �153 Est Pvt.Thickness in. Est.Patch Unit Price$ /sf L Est.Patch Cost$ ~ Est.Curb Replacement ft 16 {� Est.Curb Unit Price$__ice ` Est.Curb Cost$ N12� Est Traffic Unit Cost$ /hr Est.Traffic Control Amt.of Deposit$ Ztit Total Due$ ( )Cash ( )Check#_____ Applicant is responsible for contacting the Police DOOt.and C.B.Y.D. Paid By_.__ I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY SHE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OU7T'LINF4 I(N� E TOWN OF SOUTH WINDSOR'S STREET CUT PRMIT MANUAL. Signed: 1 �,.�,,��( Date: �-s Title: Driver's License#. PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Permit 08 REV 10-22-08